| NPI | 1952617094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14438) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2021-11-10 |